Government Programs Regulatory Reporting Lead - Health Plan

Good Samaritan Society; Iowa (LA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Government Programs Regulatory Reporting Lead to ensure compliance with Medicare and Medicaid regulations. This role involves managing audits, developing reporting processes, and collaborating with various teams to maintain data accuracy. With opportunities for remote work and a commitment to employee growth, this position offers a chance to make a significant impact in a not-for-profit health system. Enjoy comprehensive benefits including health insurance, retirement plans, and generous paid time off while contributing to a mission-driven organization dedicated to health and healing.

Benefits

Health Insurance

Paid Time Off

Voluntary Benefits

Company Paid Benefits

401(k) with employer match

Qualifications

• 5+ years of experience in healthcare reimbursement or contract negotiation.
• Expertise in regulated reporting and audit readiness for Medicare and Medicaid.

Responsibilities

• Manage reporting and audits for Medicare Advantage and ACA programs.
• Collaborate with operational units to ensure compliance and accuracy.

Skills

Healthcare Compliance

Data Management

Audit Readiness

Contract Negotiation

Education

Bachelor's degree in healthcare

Bachelor's degree in finance

Job description

Government Programs Regulatory Reporting Lead - Health Plan | Sanford Careers

For more information about Total Rewards, visit https://sanfordcareers.com/benefits

Sanford Health

Sanford Health Government Programs Regulatory Reporting Lead - Health Plan (Remote, IA)

Location: Remote, IA

Apply Now: Current Employees Apply Here

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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family, dedicated to health and healing across our broad footprint.

Benefits

• Health Insurance: Multiple options allowing flexibility to fit your needs.
• Paid Time Off: Encourages time to recharge and refresh.
• Voluntary Benefits: Customize your benefits package.
• Company Paid Benefits: Base life insurance and disability at no cost.
• Retirement Plan: 401(k) with employer match.

Employees also enjoy a wide range of discounts and perks both locally and nationwide.

Careers With Purpose

Sanford Health is a leading not-for-profit health system, offering growth opportunities to its dedicated team members.

Position Details

Shift: Varies

Job Schedule: Full-time

Hours per Week: 40

Salary Range: $32.50 - $52.00 per hour

This position can be remote or in-office. Some in-person attendance may be required for training, meetings, or special projects, scheduled in advance.

Job Summary

The Government Programs Regulatory Reporting Lead is the subject matter expert for regulated reporting and audit readiness of Medicare Advantage, ACA, and Medicaid programs, ensuring compliance with all regulations and policies. Responsibilities include managing reporting, audits, data exchanges, and collaborating with operational units to ensure accurate, compliant, and timely data and reports. The role involves developing and improving processes, ensuring certifications and quality standards are met, and serving as the main contact for reporting questions. Occasional travel may be required.

Qualifications

• Bachelor's degree in healthcare, finance, or related field.
• Minimum five years of relevant experience; healthcare reimbursement or contract negotiation experience preferred.

Sanford Health offers comprehensive benefits, including health, dental, vision, life insurance, a 401(k), work/life balance benefits, and generous paid time off. For more details, visit https://sanfordcareers.com/benefits.

Sanford is an EEO/AA Employer. Accommodations for applicants with disabilities are available upon request. Employment requires passing a drug screen and background check.